FORM 1023-EZ for SPINAL CORD INJURY FOUNDATION

Field Data
EIN 46-1304544
Case Number EO-2017082-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPINAL CORD INJURY FOUNDATION
Organization’s Mailing Address 2430 ARCADIA DRIVE
City CANTON
State MI
ZIP 48188
Accounting period End 12
Primary contact name BLAKE HEIDENREICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE HEIDENREICH
PRESIDENT
2430 ARCADIA DRIVE
CANTON MI 48188

Officer/Director/Trustee Two

JERRY MANGONA
TREASURER
1248 LABROSSE ST
DETROIT MI 48226

Officer/Director/Trustee Three

JON FRASER
DIRECTOR
25 MASSACHUSETTS AVENUE
WASHINGTON DC DC 20001

Officer/Director/Trustee Four

ANTHONY CHIODO
DIRECTOR
325 E EISENHOWER PKWY
ANN ARBOR MI 48108

Organization’s website SPINALCORDSCHOLARSHIP.ORG
Organization’s email BLAKE@SPINALCORDSCHOLARSHIP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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